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自84年至87年8月我院共收治伤寒31例.其伴有临床特异表现的6例,报告如下:例一.聂××男 32岁,于84年7月14日始感头痛、畏寒、发烧,T40℃,继之出现嗜睡、神志朦胧,答非所问,尿失禁一周,后因突然昏倒,呼之不应,于84年8月5日急诊入神经内科。体查:T40℃ P110次/分 BP 106/60mmHg,神志不清,双肺可闻及湿罗音,肝可扪及1.5cm,肤壁及提睾反射减弱,未引出病理反射。血像:白细胞6,200/mm~3,分叶79%,酸性0%,血小板93,000/mm~3;脑压、脑脊液检查正常,培养阴性,脑电图示中度异常;胸片阴性,肥达化反应阴性,血及大便均培养出伤寒杆菌。经氨苄青霉素,TMP 治疗,住院71天治愈。脑电图复查示边
From 1984 to August 1987, a total of 31 cases of typhoid fever were treated in our hospital, and 6 cases were associated with clinical manifestations. The report was as follows: Example 1: Nie × × male was 32 years old and felt headache on July 14, Chills, fever, T40 ℃, followed by lethargy, mind hazy, non-questioning, urinary incontinence week, after a sudden collapsed, call should not, in August 5, 84 emergency department into neurology. Physical examination: T40 ℃ P110 times / min BP106 / 60mmHg, confusion, lungs can be heard and wet rales, palpable liver and 1.5cm, skin and cremasteric reflex decreased, did not lead to pathological reflex. Blood: white blood cells 6,200 / mm ~ 3, leaf 79%, 0% acid, platelets 93,000 / mm ~ 3; brain pressure, cerebrospinal fluid was normal, negative culture, EEG showed moderate abnormalities; Negative reaction, blood and stool are cultured Salmonella typhi. After ampicillin, TMP treatment, hospitalized for 71 days to cure. EEG review showed edge